location
search-icon
person
Jerrold G Black, MD
Family Medicine Physician in Woodbridge, Virginia
NPI 1104833904

Jerrold G Black is a Family Medicine Physician based in Woodbridge, VA. Jerrold G Black practices in Woodbridge, VA and has the professional credentials of MD. The NPI Number for Jerrold G Black is 1104833904 and holds a License No. 01063821A (Virginia).

The current practice location address for Jerrold G Black is 4167 Merchant Plz, Woodbridge, VA and can be reached out via phone at 703-878-8800 and via fax at 703-878-2133.

Location: 4167 Merchant Plz, Woodbridge, VA, 22192-5088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104833904
Provider Name
Jerrold G Black
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4167 Merchant Plz, Woodbridge, VA, 22192-5088
Phone Number
703-878-8800
Fax Number
703-878-2133
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1104833904 05 VA
institution
Provider Business Practice Location Address Details
Address
4167 Merchant Plz
City
Woodbridge
State
Virginia
Zip
22192-5088
Phone Number
703-878-8800
Fax Number
703-878-2133
person
Provider Business Mailing Address Details
Address
4167 Merchant Plz
City
Woodbridge
State
Virginia
Zip
22192-5088
Phone Number
703-878-8800
Fax Number
703-878-2133
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01063821A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.